19 Winter Island Rd Application (STAMPED) 2/15123,2:18 PM about:blank
��coNotrgo CITY OF SALEM, MASSACHUSETTS
BOARD OF APPEALS
1 98 WASHINGTON STREET,2ND FLOOR
SALEM,MASSACHUSETTS 01970
Thomas St.Pierre, Director of Inspectional Services
Phone:978-619-5641
Daniel Laroe,Staff Planner
City of Salem Phone:978-619-5685
Zoning Board of Appeals Application
Application ID: ZBA-23-6 Date submitted: February 15, 2023
TO THE BOARD OF APPEALS:
The Undersigned represent(s)that they are the owner(s)of a certain parcel of land located at:
z
Address: 19 WINTER ISLAND ROAD Zoning District: R1
An application is being submitted to the Board of Appeals for the following reason(s):
See Statement of Grounds
For this reason,I am requesting: ^
(a Variance(s)from provisions of Section of the Zoning Ordinance,specifically from
true A Special Permit under Section 3.3.3 and 3.3.5 of the Zoning Ordinance in order to See Statement of Grounds
L]Appealing a Decision of the Building Inspector:
L]Comprehensive Permit:
Current Property Use:single family Are Lot Dimensions Included:Yes
The Undersigned hereby petitions the Board of Appeals to vary the terms of the Salem Zoning Ordinance and allow the project to be
constructed as per the plans submitted,as the enforcement of said Zoning By-Laws would involve practical difficulty or unnecessary
hardship to the Undersigned and relief may be granted without substantially derogating from the intent and purpose of the Zoning
Ordinance.
Statement of Hardship(for Variances):
Statement of Grounds(for Special Permits):
See Statement of Grounds attached
Petitioner:William Munroe If different from petitioner
Address: 19 Winter Island Road,Salem,MA 01970 Property Owner:
Telephone:978-317-4666 Address:,
Email:williamz 6 @comcast. t Telephone:
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Signature: Email:III Signature:
Date:
� Date:
If different from petitioner
Representative:Scott Grover,Esq.
Address:27 Congress Street,Suite 414,Salem,MA 01970
Telephone:978-745-8065
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2/15/23,2:18 PM about:blank
Email:smgrover ns.co
Signature:
Date: r W-3
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City of Salem Department of Planning and Community Development
Check Receipt and Tracking Form
Please complete the form and make two (2) copies
Date Received
C� —
Amount Received 40
Check ❑ Money Order
Form of Payment —
Client Information /30 J —
❑ Artists' Row Rent ---FO—Conservation Commission Fee
❑ Charlotte Forten Plaza Use Fee 1 ❑ Planning Board Fee
❑ Derby Square Plaza Use Fee 10❑ SRBAA/DReB Fee
❑ Old Town Hall Rental Fee
Payment received for F — — — -- — ❑ Salem Ferry
what service? ❑ Other
Staff receiving payment p—c_�h
Additional Notes
North Shore Bank 1345
Tinti&Navins,PC 53-712WZ113
Salem Operating
27 Congress St,Suite 414
Salem,MA 01970
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PAY One hundred five and NO/100 DATE AMOUNT
TO THE 02/15/2023 $105.00
ORDER OF Commonwealth of Massachusetts
4�
Commonwealth of Massachusetts
Essex South District Registry of Deeds
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AUTHORIZED SIGNATURE W
v 0 0 L 4SV 1: 2L137L2g81: g9S13g73Ila
Copy 1: Client
Copy 2:Application File — — —
can and email if required
City of Salem Department of Planning and Community Development
Check Receipt and Tracking Form
Please complete the form and make two (2) copies
Date Received
Amount Received 1S6 F tom' �—
Form of Payment ❑ Check ❑ Money Order �—
Client Information tJ a 0, S —
❑ Conservation Commission Fee
TO Artists' Row Rent
❑ Charlotte Forten Plaza Use Fee ❑ Planning Board Fee
❑ Derby Square Plaza Use Fee ❑ SRA/DRB Fee
❑ Old Town Hall Rental Fee ❑ ZBA Fee
Payment received for — ❑ Salem Ferry
what service? ❑ Other
Staff receiving payment
Additional Notes
Tinti&Navins,PC North Shore Bank 1344
Salem Operating
-7,2WZ„3
27 Congress St,Suite 414
Salem,MA 01970
i
PAY One hundred fifty and NO/100
TO THE DATE AMOUNT
ORDER OF City of Salem
02/15/2023 $150.00 0
City of Salem
m
_ o
AUTHOR[ZED SIGNATURE hp
a
"'00134411' 1: 2 L L371 29Bi: 995139431i•
Original Check and Form:Treasurer's Office
Copy 1:Client
Copy 2:Application File
L Scan and email if required
City of Salem Department of Planning and Community Development
Check Receipt and Tracking Form
Please complete the form_ and make two (2) copies
Date Received
Amount Received
Form of Payment `T Check ❑ Money Order
Client Information
❑ Artists' Row Rent ❑ Conservation Commission Fee
❑ Charlotte Forten Plaza Use Fee ❑ Planning Board Fee
❑ Derby Square Plaza Use Fee ❑ SRA/DRB Fee
❑ Old Town Hall Rental Fee A ZBA Fee
Payment received for -
what service? ❑ Salem Ferry
❑ Other
Staff receiving payment
Additional Notes
North Shore Bank 1 346 I�
Tinti&Navins,PC �712W21"
Salem Operating
27 Congress St,Suite 414
Salem MA 01970
0
PAY Two and NO/100 W = AMOUNT o
TO THE
0
ORDEROF City of Salem 02/15/2023 $2.00 bra
City of Salem
93 Washington Street UW
Salem,MA 01970 9
� L
~rr AUTHORIZED SIGNATURE
C
u■0013460 1: 2L13712981: 99SL3973110
Original Check and Form:Treasurer's Office
Copy 1:Client
Copy 2:Application File
Scan and email if required